Fetus protein requirements

B. Thrombocytopenia is a frequent side effect association with heparin. This reduction in the level of circulating platelets increases bleeding. Purple toes are encountered during warfarin therapy. Heparin may be administered to pregnant mothers without risk to the fetus. Heparin requires antithrombin III for its anticoagulant action, but does not increase the level of this protein in the blood. 

From a nutritional viewpoint, it is necessary to stress the current importance of carrying out the multielemental analysis of milk samples (either human, cow s, or formula milk) in order to establish the reference values of essential elements and quantify the levels of potentially toxic elements. This fact is more relevant to formula milk production for premature babies as some essential elements are not stored by the fetus during its development in the uterus. Attention has been already paid to the qualitative and quantitative composition (analysis) of proteins, lipids, carbohydrates, and, of course, essential elements. However, in the case of human nutrition, knowledge on the particular species (compounds) in which a given element is present (chemical speciation) is now urgently needed, because the absorption and bioavailability of the essential element will strongly depend on that particular chemical form. Thus, although only the total element daily requirements have been considered here, it is important to stress that more attention must be paid to the chemical form in which essential and potentially toxic elements are present in milk. Such aspects are dealt with in detail in Chapter 13 by B. Michalke et al. 

Meperidine crosses the placental barrier and, even in reasonable analgesic doses, causes a significant increase in the percentage of babies who show delayed respiration, decreased respiratory minute volume, or decreased oxygen saturation, or who require resuscitation. Fetal and maternal respiratory depression induced by meperidine can be treated with naloxone. The fraction of drug that is bound to protein is lower in the fetus concentrations of free drug thus may be considerably higher than in the mother. Nevertheless,... 

During the intrauterine life protein deposition proceeds at an extremely high rate (0 Neill, 1971). Therefore, it is very important that adequate amino acid be provided to the fetus. On the other hand, there is a surprising paucity of exact information about amino acid metabolism in the fetus No systematic study of the amino acid requirements of the fetus and also of the premature infant has been undertaken. It is possible, too, that certain amino acids not usually considered to be essential for the mature individual may be essential for the fetus and the premature infant because of limitations of certain enzyme activities (Snyderman, 1970). 

The essentiality of cysteine for the fetus and newborn may underlie their low or nonexistent ability to convert cysteine to taurine, another low molecular weight sulfur containing confound apparently required in large amounts by developing brain (Sturman et al., 1978). The supply of cysteine may all be required for protein synthesis and none spared for taurine formation. Cystelnesulflnic acid decarboxylase (EC 4.1.1.12), the enzyme chiefly responsible for taurine biosynthesis in mammals, develops slowly after birth and reaches maximum activity in mature brain (Agrawal et al.,1971 Pasantes-Morales et al.,1976 Rassin et al., 1979), although the concentration of taurine decreases over this same period (Fig. 4). Cystelnesulflnic acid decarboxylase also uses pyridoxal 5 -phosphate as coenzyme, and is extremely sensitive to a dietary deficiency of vitamin Bg (Hope, 1955 Rassin and Sturman, 1975). 

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